Provider Demographics
NPI:1629356852
Name:HORYNA, BRETT ALLAN (RPH)
Entity Type:Individual
Prefix:MR
First Name:BRETT
Middle Name:ALLAN
Last Name:HORYNA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 E TUCKER RD
Mailing Address - Street 2:
Mailing Address - City:LIBERAL
Mailing Address - State:KS
Mailing Address - Zip Code:67901-2287
Mailing Address - Country:US
Mailing Address - Phone:620-626-7779
Mailing Address - Fax:
Practice Address - Street 1:80 E TUCKER RD
Practice Address - Street 2:
Practice Address - City:LIBERAL
Practice Address - State:KS
Practice Address - Zip Code:67901-2287
Practice Address - Country:US
Practice Address - Phone:620-626-7779
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-21
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies